全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
ISRN Nursing  2012 

Burnout among Nurses in a Nigerian General Hospital: Prevalence and Associated Factors

DOI: 10.5402/2012/402157

Full-Text   Cite this paper   Add to My Lib

Abstract:

Objective. To evaluate the prevalence and associated factors of burnout among nurses in a Nigerian general hospital. Methods. A total sampling method was utilized. Measurements. Burnout was evaluated using the Maslach Burnout Inventory; GHQ-12 was used to determine the presence of psychiatric morbidity. Results. A high level of burnout was identified in 39.1% of the respondents in the area of emotional exhaustion (EE), 29.2% in the area of depersonalization and 40.0% in the area of reduced personal accomplishment. Multivariate analysis showed that doctor/nurse conflict (OR = 3.1, 95% CI: 1.9?6.3), inadequate nursing personnel (OR = 2.6, 95% CI: 1.5–5.1), and too frequent night duties (OR = 3.1, 95% CI: 1.7–5.6) were predictors of burnout in the area of EE, doctor/nurse conflict (OR = 3.4, 95% CI: 2.2–7.6) and too frequent night duties (OR = 2.4, 95% CI 1.5–4.8) in the area of D, high nursing hierarchy (OR = 2.7, 95% CI: 1.5–4.8), poor wages (OR = 2.9, 95% CI: 1.6–5,6), and too frequent night duties (OR = 2.3, 95% CI: 2.3–4.5) in the area of RPA. Conclusions. Prevalence of burnout among these nurses was high. The government therefore needs to look into factors that will enhance nurses’ recruitment and retention for effective health care delivery system. 1. Introduction The burnout syndrome is a serious consequence of chronic exposure to work-related stressors. The construct of burnout syndrome appeared for the first time around the early 1970s, aimed at explaining the process of physical and mental deterioration in professionals working in areas such as teaching, health care, social work, or emergency legal services [1]. Subsequently, burnout syndrome was defined as a sustained response to chronic work stress comprising three dimensions: the experience of being emotionally exhausted (emotional exhaustion), negative attitudes and feelings toward the recipients of the service (depersonalization), and feelings of low accomplishment and professional failure otherwise known as lack of personal accomplishment [2]. Among nurses, the incidence of occupational stress-related burnout is high and factors such as age of the nurse, years of service, hierarchy of nurse [3], lack of adequate staff, difficult or demanding patients [4], younger age, male gender, and inadequate clinical supervision [5] have been reported to be associated with burnout. Others are excess workload, emotional stress, unevaluated work and underpayment [6], poor leadership, death and dying, conflicts with staff, accepting responsibility, lack of social support, conflict with other nurses,

References

[1]  H. J. Freudenberger, “Staff burnout,” Journal of Social Issues, vol. 30, no. 1, pp. 159–165, 1974.
[2]  C. Maslach and S. Jackson, Maslach Burnout Inventory Manual, Consulting Psychologists Press, Mountain View, Calif, USA, 1996.
[3]  V. A. Lambert, C. E. Lambert, and M. Ito, “Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses,” International Journal of Nursing Studies, vol. 41, no. 1, pp. 85–97, 2004.
[4]  R. Jenkins and P. Elliott, “Stressors, burnout and social support: nurses in acute mental health settings,” Journal of Advanced Nursing, vol. 48, no. 6, pp. 622–631, 2004.
[5]  D. Edwards, P. Burnard, B. Hannigan et al., “Clinical supervision and burnout: the influence of clinical supervision for community mental health nurses,” Journal of Clinical Nursing, vol. 15, no. 8, pp. 1007–1015, 2006.
[6]  R. Vimantaite and A. Seskevicius, “The burnout syndrome among nurses working in Lithuanian cardiac surgery centers,” Medicina, vol. 42, no. 7, pp. 600–605, 2006.
[7]  S. Stordeur, W. D'hoore, and C. Vandenberghe, “Leadership, organizational stress, and emotional exhaustion among hospital nursing staff,” Journal of Advanced Nursing, vol. 35, no. 4, pp. 533–542, 2001.
[8]  B Kingdom and F. Halovorsen, “Peri-operative nurses' perceptions of stress in the workplace,” AORN Journal, 2008, http://www.findarticles.com/p/articles/mi_m0FSL/is_4_84/ai_n27015570/.
[9]  J. D. McCue, “The effects of stress of physicians and their medical practice,” The New England Journal of Medicine, vol. 306, no. 8, pp. 458–463, 1982.
[10]  T. D. Shanafelt, K. A. Bradley, J. E. Wipf, and A. L. Back, “Burnout and self-reported patient care in an internal medicine residency program,” Annals of Internal Medicine, vol. 136, no. 5, pp. 358–367, 2002.
[11]  R. F. AbuAlRub, “Job stress, job performance, and social support among hospital nurses,” Journal of Nursing Scholarship, vol. 36, no. 1, pp. 73–78, 2004.
[12]  Ruaf Foundation, Ibadan, 2010, http://www.ruaf.org/.
[13]  D. Goldberg and P. Williams, Users Guide to the General Health Questionnaire, NFER-NELSON, London, UK, 1988.
[14]  C Maslach, S. E. Jackson, and M. P. Leiter, Maslach Burnout Inventory Manual, Consulting Psychologists Press, Palo Alto, Calif, USA, 3rd edition, 1996.
[15]  O. A. Coker and P. F. Omoluabi, “Validation of maslach burnout inventory,” IFE Psychologia, vol. 17, article 1, 2009.
[16]  Statistical Package for Social Studies, SPSS, Chicago, Ill, USA, 2011.
[17]  R. Quatrrin, A. Zaanni, E. Nascig, and M. Annunciate, “Level of Burnout among nurses working in Oncology in an Italian region,” Oncology Nursing Forum, vol. 33, no. 40, pp. 815–820, 2006.
[18]  J. Firth-Cozens, “Sources of stress in women junior house officers,” British Medical Journal, vol. 301, no. 6743, pp. 89–91, 1990.
[19]  M. Estryn-Béhar, B. I. J. M. van der Heijden, H. Ogi?ska et al., “The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses,” Medical Care, vol. 45, no. 10, pp. 939–950, 2007.
[20]  R. Hader, “Workplace Violence Survey 2008. Unsettling findings: employees safety isn't the norm in our healthcare settings,” Nursing Management, vol. 39, no. 7, pp. 13–19, 2008.
[21]  S. L. Johnson and R. E. Rea, “Workplace bullying: concerns for nurse leaders,” Journal of Nursing Administration, vol. 39, no. 2, pp. 84–90, 2009.
[22]  N. K. Thomas, “Resident burnout,” Journal of the American Medical Association, vol. 292, no. 23, pp. 2880–2889, 2004.
[23]  J. L. Stehle, “Critical care nursing stress: the findings revisited,” Nursing Research, vol. 30, no. 3, pp. 182–186, 1981.
[24]  C. Maslach, W. B. Schaufeli, and M. P. Leiter, “Job burnout,” Annual Review of Psychology, vol. 52, pp. 397–422, 2001.
[25]  R. Gopal, J. J. Glasheen, T. J. Miyoshi, and A. V. Prochazka, “Burnout and internal medicine resident work-hour restrictions,” Archives of Internal Medicine, vol. 165, no. 22, pp. 2595–2600, 2005.
[26]  F. H. Decker, “Occupational and nonoccupational factors in Job satisfaction and psychological distress among nurses,” Research in Nursing and Health, vol. 20, no. 5, pp. 453–464, 1997.
[27]  M. Elovainio and M. Kivim?ki, “Occupational stresses, goal clarity, control, and strain among nurses in the finnish health care system,” Research in Nursing and Health, vol. 19, no. 6, pp. 517–524, 1996.
[28]  V. Lee and M. C. Henderson, “Occupational stress and organizational commitment in nurse administrators,” Journal of Nursing Administration, vol. 26, no. 5, pp. 21–28, 1996.
[29]  A. E. Dembe, “Ethical issues relating to the health effects of long working hours,” Journal of Business Ethics, vol. 84, supplement 2, pp. 195–208, 2009.
[30]  E. Scott, “The origins of burnout,” 2006, http://stress.about.com/bio/elizabeth-scott-m-s17577.htm.
[31]  Y. Q. Gao, B. C. Pan, and W. Sun, “Depressive symptoms among Chinese nurses: prevalence and the associated factors,” Journal of Advanced Nursing, vol. 13, no. 4, pp. 468–474, 2011.
[32]  M. L. Hseish, Y. M. Li, and E. T. Channg, “Sleep disorder in Taiwan Nurses: a random sample survey,” Nursing & Health Sciences, vol. 13, no. 4, pp. 468–474, 2011.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133